MEDICARE: MARK W KEMP, DDS, PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1144160136
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARK W KEMP, DDS, PA

Provider Business Mailing Address
First Line	:	1628 MEMORIAL DR STE A
Second Line	:
City	:	BURLINGTON
State	:	NC
Zip	:	27215-3596
Country	:	US
Telephone Number	:	336-226-2271
Fax Number	:	336-226-1665

Provider Business Practice Location Address
First Line	:	1628 MEMORIAL DR STE A
Second Line	:
City	:	BURLINGTON
State	:	NC
Zip	:	27215-3596
Country	:	US
Telephone Number	:	336-226-2271
Fax Number	:	336-226-1665

Authorized Official
Title or Position	:	DENTIST/OWNER
Name	:	DR. MARK WINDSOR KEMP
Credential	:	DDS
Telephone Number	:	336-226-2271

Provider Enumeration Date	:	03/30/2026
Last Update Date	:	03/30/2026

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